Organization Active NPI

Aesthetic and Special Care Associates,PA

  • General Practice Dentistry
  • Wilmington, DE
National Provider Identifier
1154481661
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
G10000859 G10001149 Issued in DE
Legal business name
AESTHETIC AND SPECIAL CARE ASSOCIATES,PA
Practice address
2323 Pennsylvania Ave
Lower Level
Wilmington, DE 19806-1332
Phone
(302) 426-0526
Fax
(302) 426-0511
NPI assigned
Dec 12, 2006
Last updated
Jan 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Keith T Nguyen, DMDNPI 1609957067
Title
Owner
Phone
(302) 482-4444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X G10000859 G10001149 DE Primary

Addresses

Primary practice location

2323 Pennsylvania Ave
Lower Level
Wilmington, DE 19806-1332

Mailing address

2323 Pennsylvania Ave
Lower Level
Wilmington, DE 19806-1332
Phone (302) 482-4444

National Provider Directory

National Provider Directory

Locations

2323 Pennsylvania Ave
Wilmington, DE 19806
Phone (302) 482-4444

2323 Pennsylvania Ave
Lowr
Wilmington, DE 19806
Phone (302) 426-0526

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1154481661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 PENNSYLVANIA AVE",
            "address_2": "LOWER LEVEL",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061332",
            "telephone_number": "302-482-4444",
            "fax_number": "302-482-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 PENNSYLVANIA AVE",
            "address_2": "LOWER LEVEL",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061332",
            "telephone_number": "302-426-0526",
            "fax_number": "302-426-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC AND SPECIAL CARE ASSOCIATES,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-482-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G10000859  G10001149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.